scholarly journals Factors associated with viral non-suppression among adolescents living with HIV in Cambodia: a cross-sectional study

2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Kolab Chhim ◽  
Gitau Mburu ◽  
Sovannary Tuot ◽  
Ratana Sopha ◽  
Vohith Khol ◽  
...  
2019 ◽  
Author(s):  
Yao Yin ◽  
Angela Chia-Chen Chen ◽  
Shaoping Wan ◽  
Hong Chen

Abstract Background The Liangshan Yi Autonomous Prefecture has one of the most serious human immunodeficiency virus (HIV) epidemics in China. Evidence shows HIV-related stigma toward people living with HIV (PLWH) among nurses impedes HIV prevention and treatment. However, only limited research about HIV-related stigma toward PLWH from the perspective of nurses in Liangshan has been conducted. This cross-sectional study aimed to assess HIV-related stigma toward PLWH among nurses and determine factors associated with it in Liangshan, China. Methods Using a stratified, random cluster sampling method, registered nurses (N=1,248; primary hospitals=102, secondary hospitals=592, tertiary hospitals=554) were recruited 10 hospitals in Liangshan. All participants completed an anonymous online survey measuring sociodemographic characteristics, HIV-related stigma and HIV knowledge. We used multiple stepwise regression analysis to examine factors associated with HIV-related stigma toward PLWH among these nurses. Results The mean score of HIV-related stigma among nurses was 50.7 (SD = 8.3; range 25-78). Nurses who were more experienced, had higher levels of education, and were working in tertiary hospitals reported higher level of HIV-related stigma. Those who had better HIV knowledge, reported a willingness to receive HIV-related training, were working in areas that had a high prevalence of HIV, had prior experience working in acquired immune deficiency syndrome (AIDS) specialized hospitals, and worked in hospitals that had policies to protect PLWH showed a lower level of HIV-related stigma toward PLWH. Conclusions Findings suggested that providing culturally congruent education and training about HIV and care, and having hospitals that promoted policies protecting PLWH, may reduce HIV-related stigma toward PLWH among nurses in China.


2019 ◽  
Author(s):  
Mihret Dejen Kassie ◽  
Yohannes Ayanaw Habitu ◽  
Simegnew Handebo

Abstract Background All women, including those living with HIV, have the right to choose the timing, spacing, and number of their births and need access to family planning services.Objective To assess the prevalence and factors associated with unmet need for family planning among women attending Anti retro viral Therapy (ART).Methods Facility-based cross sectional study was conducted from March, to April, 2018 in Gondar town, Ethiopia. Systematic random sampling technique was used to recruit respondents. A total of 441 reproductive age women on ART were included in the study. The data were collected using a pretested structured questionnaire. Bivariate and backward multivariable logistic regression model was fitted to identify factors associated with unmet need for family planning. Adjusted Odds Ratio (AOR) and 95% confidence interval was computed.Results The prevalence of unmet need for family planning was 24.5% (95% CI: 20.4-28.8). Rural residence (AOR: 2.11, 95% CI (1.02, 4.36)), women aged 20-29 years (AOR: 0.29, 95% CI (0.09, 0.93)), 30-34 years (AOR: 0.30, 95% CI (0.10, 0.92)), 35-39 years (AOR: 0.14, 95% CI (0.04, 0.45)), and above 40 years (AOR: 0.08, 95% CI (0.02, 0.38)), have more than three children (AOR: 0.12, 95% CI (0.04, 0.36)), intention to have more children (AOR: 0.08, 95% CI (0.03, 0.23)), who did not disclose their sero-status to partner (AOR: 0.39, 95% CI (0.19, 0.81)), having no experience of contraception use (AOR: 0.44, 95% CI (0.21, 0.92)) were significantly associated with unmet need for family planning.Conclusion One in every four women living with HIV had unmet need for family planning. Rural residence, age of the women, having >3 children, intention to have more children, not disclosing sero-status to partner, and having no experience of contraception use were significantly associated with unmet need for family planning.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoning Liu ◽  
Jing Cao ◽  
Zheng Zhu ◽  
Xia Zhao ◽  
Jing Zhou ◽  
...  

Abstract Background Nutrition is a crucial factor that can impact morbidity and mortality in older people living with HIV (PLWH). Studies on nutritional risk and nutritional status in all age groups in PLWH have been conducted. However, few studies have focused on nutritional risk in older PLWH. This study aimed to describe the nutritional risk and nutritional status in older PLWH, and explore factors associated with nutritional risk and undernutrition status. Methods We conducted a cross-sectional study. We recruited participants aged 50 years or older from the Third People’s Hospital of Shenzhen from January 2016 to May 2019. Nutritional risk and nutritional status were evaluated by the Nutritional Risk Screening 2002 (NRS 2002) tool, body mass index (BMI), albumin level, and prealbumin level on the first day of admission. Logistic regression models were used to identify the factors associated with undernutrition based on the BMI, albumin, and prealbumin criteria. Results A total of 196 older PLWH were included in the analysis. We found that 36% of hospitalized older PLWH had nutritional risk, and 12–56% of them had undernutrition based on the BMI, albumin, and prealbumin criteria. An increased nutritional risk score was associated with older age (β = 0.265 CI [0.021, 0.096], P = 0.002), a higher viral load (β = − 0.186 CI [− 0.620, − 0.037], P = 0.028), a lower BMI (β = − 0.287 CI [− 0.217, − 0.058], P = 0.001), and a lower albumin level (β = − 0.324 CI [− 8.896, − 1.230], P = 0.010). The CD4 count was associated with the prevalence of undernutrition based on the albumin criterion (OR = 15.637 CI [2.742, 89.178], P = 0.002). Conclusion Our study indicated that nutritional screening, assessment, and management should be routinely performed in hospitalized older PLWH. HIV-specific measures should be used to assess nutritional risk, and albumin, BMI, and other assessments should be used in combination to identify undernutrition in older PLWH.


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